Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Full Smile Dental Lakeridge, PLLC

Organization Endodontics · NPI 1184389355

Full Smile Dental Lakeridge, PLLC is an Endodontics in Lubbock, Texas. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4425 98th St
Lubbock, TX 79424-5029
Phone: (806) 641-1373
Fax: (806) 353-7077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X
Endodontics Taxonomy 1223E0200X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1184389355
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Morris — Credentialing Specialist · (806) 353-1055
Other names Full Smile Dental Lakeridge, Pllc; Full Smile Dental Lakeridge, Pllc
NPI enumeratedNovember 3, 2021
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022
Mailing address5051 S Soncy Rd, Amarillo, TX 79119-6667

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